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Wounds - ISSN: 1044-7946 - Volume 18 - Issue 6 - June 2006 | |
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| John P. Di Saia, MD |
Abstract: Hidradenitis suppurativa is characterized by chronic infection of the apocrine sweat glands. Radical excision of affected areas yields the best long-term results when conservative treatment modalities fail. Larger defects from excision are frequently reconstructed using skin grafts or are allowed to heal by secondary intention. Although radical excision yields the best results in terms of disease control, the defects remaining after wound healing can be disfiguring. In the present case, previously excised and grafted inguinoperineal defects were repaired utilizing medial thigh flaps.
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The Effects of Graduated Compression Stockings on Cutaneous Surface Pressure Along the Path of Main Superficial Veins of Lower Limbs |
| Rong Liu, MSc;1 Yi Lin Kwok, PhD, CText, FTI, ACFI, FHKITA;1 Yi Li, PhD, CText, FTI, LFIBA, FRSA;1 Terence T. Lao, MBBS, MD, FRCOG, FHKAM(O&G), FHKCOG;2 Xin Zhang, PhD3 |
Abstract: Background. The superficial venous system is most often affected by varicose veins. Graduated compression stockings (GCSs) are a recognized effective nonsurgical option to prevent and treat lower limb varicose veins. Objective. The objective of the present study was to investigate the cutaneous surface pressure exerted by GCSs along the courses of main superficial veins of the lower limb. Methods and materials. Cutaneous surface pressures along the paths of long and short saphenous veins applied by different kinds of GCSs were examined by using pressure sensors (Tekscan, Inc., Boston, Mass) and a multichannel monitoring system in 6 healthy women tested in 7 different body postures. Results. Tested location, body posture, and types of compression stocking significantly influenced the cutaneous pressure along the main superficial veins (P < 0.001). Cutaneous pressure along the short saphenous veins had better pressure gradient performance when subjects were standing. The pres
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Negative Pressure Wound Therapy in Post-Cesarean Superficial Wound Disruption: A Report of 3 Cases |
| Joerg Humburg, MD; Wolfgang Holzgreve, MD, MS, FROCG; Irene Hoesli, MD |
Abstract: Wound disruption after cesarean section is a common complication that may cause additional stress postpartum. The treatment options are secondary closure with the risk of reinfection or healing by secondary intention. In some cases, negative pressure wound therapy can be a useful alternative. Three cases of superficial wound disruption after cesarean section performed for failure to progress are presented. Successful closure with negative pressure wound therapy was achieved after conventional surgical treatment options were exhausted or unacceptable to the patients. Negative pressure wound therapy is a safe, feasible, and well-tolerated treatment option.
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| Amna Al-Muhairi, MD, and Tania Phillips, MD, FRCPC |
Abstract: Venous ulcers are the most common form of leg ulcers. Up to 80% of leg ulcers are the result of chronic venous hypertension, most commonly caused by valvular incompetence. When used with a foam dressing, one commonly used treatment—a multilayer compression wrap—may result in further skin damage. The authors present a method of preventing this occurrence.
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Tie-over Dressing Technique Using Rubber Bands for Skin Graft |
| Akihiro Ogino, MD;1 Yu Maruyama, MD;2 Kiyoshi Onishi, MD;3 Kohei Inami, MD1 |
Abstract: A tie-over dressing technique using rubber bands is reported. This technique was applied to 4 cases of patients receiving mesh skin grafts for defects after resection of chronic perianal pyoderma. Skin graft take was good in all cases. This technique is a simple, timesaving procedure. The elasticity of the rubber band allows for effective adjustment correspondent with patient movement and applies moderate pressure to the graft. The tie-over dressing can be repeatedly removed and reapplied if early observation of the graft is desired. This technique is useful for skin grafts in mobile areas, such as the buttock, hip joint, or shoulder joint.
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| Chukwuemeka N. Etufugh, MD; H. Randolph Byers, MD, PhD; Tania J. Phillips, MD, FRCPC |
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